| NPI | 1568978914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA NUSS Owner 203-200-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2018-06-22 |